title: The impact of mild cognitive impairment on sexual activity.
abstract: OBJECTIVE
  The aim of this study was to identify the unique impact of mild cognitive impairment (MCI) on sexual activity among older adults.
  
  
  METHODS
  Data for the study were drawn from a national survey entitled the "Determinants of Wellness among Older Malaysians: A Health Promotion Perspective" conducted in 2010.
  
  
  RESULTS
  According to the Mini-Mental State Examination education-adjusted cutoff points, 15.6% of the 1046 respondents were identified as having MCI. Older adults with MCI had a significantly lower level of sexual activity than the healthy cognitive group (chi-square = 50.20, P < .001, 32.5% vs 62.3%). The results of 3-step hierarchical logistic regression model revealed that MCI is significantly associated with decreased sexual activity in community-dwelling older adults, over and beyond demographic factors, and age-related medical conditions affecting sexual activity (odds ratio 0.33, P < .001, 95% confidence interval 0.23-0.49).
  
  
  CONCLUSIONS
  Findings from the present study support the significant role of cognitive functioning to perform sexual activity in later life.
authors.affiliation: 1Institute of Gerontology, Social Gerontology Universiti Putra Malaysia, Serdang, Selangor, Malaysia.
authors.forename: Yadollah Abolfathi
authors.initials: YA
authors.lastname: Momtaz
authors.forename: Tengku Aizan
authors.initials: TA
authors.lastname: Hamid
authors.forename: Rahimah
authors.initials: R
authors.lastname: Ibrahim
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D060825:Cognitive Dysfunction / Q000503:physiopathology*; D004522:Educational Status; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D012725:Sexual Behavior / Q000706:statistics & numerical data*
keywords: Malaysia; aged; mild cognitive impairment; sexual activity; sexuality